Trial Outcomes & Findings for A Single Dose Study to Investigate the Pharmacokinetics of MK-0941 in Participants With Renal Insufficiency (MK-0941-015-02) (NCT NCT00830791)

NCT ID: NCT00830791

Last Updated: 2015-02-26

Results Overview

Plasma AUC (0-infinity) was evaluated among participants with Type 2 Diabetes Mellitus (T2DM) and mild renal insufficiency taking a single oral dose of 20 mg of MK-0941 versus controls with normal renal function taking a single oral dose of 20 mg of MK-0941. Mild renal insufficiency was defined as a 24-hour creatinine clearance (CLCR) of \> 50 to 80 mL/min/1.73m\^2.

Recruitment status

TERMINATED

Study phase

PHASE1

Target enrollment

32 participants

Primary outcome timeframe

72 Hours Post-Dose

Results posted on

2015-02-26

Participant Flow

Participant milestones

Participant milestones
Measure
MK-0941 20 mg Mild Renal Insufficiency
MK-0941 administered as a single oral dose of 20 mg (10 mg x 2) to participants with mild renal insufficiency.
Control + MK-0941 20 mg
Age, gender-, race-, body mass index (BMI) and hemoglobin A1C (HbA1C) matched controls with Type 2 Diabetes Mellitus but without mild renal insufficiency (T2DM) who received MK-941 at a dose of 20 mg administered as a single oral dose of 10 mg x 2.
MK-0941 20 mg Moderate Renal Insufficiency
MK-0941 administered as a single oral dose of 20 mg (10 mg x 2) to participants with moderate renal insufficiency.
Control + 20 mg MK-0941
Age, gender-, race-, body mass index (BMI) and hemoglobin A1C (HbA1C) matched controls with Type 2 Diabetes Mellitus (T2DM) but without moderate renal insufficiency who received MK-941 at a dose of 20 mg administered as a single oral dose of 10 mg x 2.
MK-0941 5 mg Severe Renal Insufficiency
MK-0941 administered as a single oral dose of 5 mg to participants with severe renal insufficiency.
Control + MK-0941 5 mg
Age, gender-, race-, body mass index (BMI) and hemoglobin A1C (HbA1C) matched controls with Type 2 Diabetes Mellitus (T2DM) but without severe renal insufficiency who received MK-941 at a dose of 5 mg administered as a single oral dose.
Overall Study
STARTED
8
8
8
8
0
0
Overall Study
COMPLETED
8
8
8
8
0
0
Overall Study
NOT COMPLETED
0
0
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

A Single Dose Study to Investigate the Pharmacokinetics of MK-0941 in Participants With Renal Insufficiency (MK-0941-015-02)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
MK-0941 20 mg Mild Renal Insufficiency
n=8 Participants
MK-0941 administered as a single oral dose of 20 mg (10 mg x 2) to participants with mild renal insufficiency.
Control + MK-0941 20 mg
n=8 Participants
Age, gender-, race-, body mass index (BMI) and hemoglobin A1C (HbA1C) matched controls with Type 2 Diabetes Mellitus but without mild renal insufficiency (T2DM) who received MK-941 at a dose of 20 mg administered as a single oral dose of 10 mg x 2.
MK-0941 20 mg Moderate Renal Insufficiency
n=8 Participants
MK-0941 administered as a single oral dose of 20 mg (10 mg x 2) to participants with moderate renal insufficiency.
Control + 20 mg MK-0941
n=8 Participants
Age, gender-, race-, body mass index (BMI) and hemoglobin A1C (HbA1C) matched controls with Type 2 Diabetes Mellitus (T2DM) but without moderate renal insufficiency who received MK-941 at a dose of 20 mg administered as a single oral dose of 10 mg x 2.
MK-0941 5 mg Severe Renal Insufficiency
MK-0941 administered as a single oral dose of 5 mg to participants with severe renal insufficiency.
Control + MK-0941 5 mg
Age, gender-, race-, body mass index (BMI) and hemoglobin A1C (HbA1C) matched controls with Type 2 Diabetes Mellitus (T2DM) but without severe renal insufficiency who received MK-941 at a dose of 5 mg administered as a single oral dose.
Total
n=32 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
0 participants
n=4 Participants
0 participants
n=8 Participants
Age, Categorical
Between 18 and 65 years
6 participants
n=5 Participants
6 participants
n=7 Participants
7 participants
n=5 Participants
7 participants
n=4 Participants
26 participants
n=8 Participants
Age, Categorical
>=65 years
2 participants
n=5 Participants
2 participants
n=7 Participants
1 participants
n=5 Participants
1 participants
n=4 Participants
6 participants
n=8 Participants
Gender
Female
6 participants
n=5 Participants
6 participants
n=7 Participants
5 participants
n=5 Participants
5 participants
n=4 Participants
22 participants
n=8 Participants
Gender
Male
2 participants
n=5 Participants
2 participants
n=7 Participants
3 participants
n=5 Participants
3 participants
n=4 Participants
10 participants
n=8 Participants

PRIMARY outcome

Timeframe: 72 Hours Post-Dose

Plasma AUC (0-infinity) was evaluated among participants with Type 2 Diabetes Mellitus (T2DM) and mild renal insufficiency taking a single oral dose of 20 mg of MK-0941 versus controls with normal renal function taking a single oral dose of 20 mg of MK-0941. Mild renal insufficiency was defined as a 24-hour creatinine clearance (CLCR) of \> 50 to 80 mL/min/1.73m\^2.

Outcome measures

Outcome measures
Measure
MK-0941 20 mg
n=8 Participants
MK-0941 administered as a single oral dose of 20 mg (10 mg x 2).
Control + MK-0941 20 mg
n=8 Participants
Age, gender-, race-, body mass index (BMI) and hemoglobin A1C (HbA1C) matched controls with Type 2 Diabetes Mellitus (T2DM) who received MK-941 at a dose of 20 mg administered as a single oral dose of 10 mg x 2.
Plasma Area Under the Curve (AUC [0-infinity]) After Administration of a Single Oral Dose of 20 mg of MK-0941 Among Participants With Mild Renal Insufficiency vs Matched Controls
1481.42 nM per Hour
Interval 1163.05 to 1886.93
1553.50 nM per Hour
Interval 1241.46 to 1943.98

PRIMARY outcome

Timeframe: 72-Hours Post-Dose

Plasma AUC (0-infinity) was evaluated among participants with Type 2 Diabetes Mellitus (T2DM) and moderate renal insufficiency taking a single oral dose of 20 mg of MK-0941 versus controls with normal renal function taking a single oral dose of 20 mg of MK-0941. Moderate renal insufficiency was defined as a 24-hour CLCR of 30 to 50 mL/min/1.73m\^2.

Outcome measures

Outcome measures
Measure
MK-0941 20 mg
n=8 Participants
MK-0941 administered as a single oral dose of 20 mg (10 mg x 2).
Control + MK-0941 20 mg
n=8 Participants
Age, gender-, race-, body mass index (BMI) and hemoglobin A1C (HbA1C) matched controls with Type 2 Diabetes Mellitus (T2DM) who received MK-941 at a dose of 20 mg administered as a single oral dose of 10 mg x 2.
Plasma AUC (0-infinity) After Administration of a Single Oral Dose of 20 mg of MK-0941 Among With Moderate Renal Insufficiency vs Matched Controls
2084.00 nM per Hour
Interval 1592.63 to 2726.99
1278.83 nM per Hour
Interval 987.34 to 1656.37

PRIMARY outcome

Timeframe: 72-Hours Post-Dose

Population: This study was discontinued early and participants were not treated with the 5 mg dose.

Plasma AUC (0-infinity) was evaluated among participants with Type 2 Diabetes Mellitus (T2DM) and severe renal insufficiency taking a single oral dose of 5 mg of MK-0941 versus controls with normal renal function taking a single oral dose of 5 mg of MK-0941. Severe renal insufficiency was defined as a 24-hour CLCR of \> 30 mL/min/1.73m\^2.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 72-Hours Post-Dose

Cmax was evaluated among participants with Type 2 Diabetes Mellitus (T2DM) and mild renal insufficiency who received 20 mg of MK-0941 versus controls with normal renal function who received 20 mg of MK-0941. Mild renal insufficiency was defined as a 24-hour CLCR of \> 50 to 80 mL/min/1.73m\^2.

Outcome measures

Outcome measures
Measure
MK-0941 20 mg
n=8 Participants
MK-0941 administered as a single oral dose of 20 mg (10 mg x 2).
Control + MK-0941 20 mg
n=8 Participants
Age, gender-, race-, body mass index (BMI) and hemoglobin A1C (HbA1C) matched controls with Type 2 Diabetes Mellitus (T2DM) who received MK-941 at a dose of 20 mg administered as a single oral dose of 10 mg x 2.
Maximum Plasma Concentration (Cmax) After Administration of a Single Oral Dose of 20 mg of MK-0941 Among Participants With Mild Renal Insufficiency vs Matched Controls
401.39 nM
Interval 230.68 to 698.43
543.45 nM
Interval 325.26 to 908.0

SECONDARY outcome

Timeframe: 72-Hours Post-Dose

Cmax was evaluated among participants with Type 2 Diabetes Mellitus (T2DM) and moderate renal insufficiency who received 20 mg of MK-0941 versus controls with normal renal function who received 20 mg of MK-0941. Moderate renal insufficiency was defined as a 24-hour CLCR of 30 to 50 mL/min/1.73m\^2.

Outcome measures

Outcome measures
Measure
MK-0941 20 mg
n=8 Participants
MK-0941 administered as a single oral dose of 20 mg (10 mg x 2).
Control + MK-0941 20 mg
n=8 Participants
Age, gender-, race-, body mass index (BMI) and hemoglobin A1C (HbA1C) matched controls with Type 2 Diabetes Mellitus (T2DM) who received MK-941 at a dose of 20 mg administered as a single oral dose of 10 mg x 2.
Cmax After Administration of a Single Oral Dose of 20 mg of MK-0941 Among Participants With Moderate Renal Insufficiency vs Matched Controls
499.12 nM
Interval 368.13 to 676.74
438.57 nM
Interval 327.23 to 587.79

SECONDARY outcome

Timeframe: 72-Hours Post-Dose

Population: This study was discontinued early and participants were not treated with the 5 mg dose.

Cmax was evaluated among participants with Type 2 Diabetes Mellitus (T2DM) and severe renal insufficiency who received 5 mg of MK-0941 versus controls with normal renal function who received 5 mg of MK-0941. Severe renal insufficiency was defined as a 24-hour CLCR of \> 30 mL/min/1.73m\^2.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 72-Hours Post-Dose

Tmax was evaluated among participants with Type 2 Diabetes Mellitus (T2DM) and mild renal insufficiency who received 20 mg of MK-0941 versus controls with normal renal function who received 20 mg of MK-0941. Mild renal insufficiency was defined as a 24-hour CLCR of \> 50 to 80 mL/min/1.73m\^2.

Outcome measures

Outcome measures
Measure
MK-0941 20 mg
n=8 Participants
MK-0941 administered as a single oral dose of 20 mg (10 mg x 2).
Control + MK-0941 20 mg
n=8 Participants
Age, gender-, race-, body mass index (BMI) and hemoglobin A1C (HbA1C) matched controls with Type 2 Diabetes Mellitus (T2DM) who received MK-941 at a dose of 20 mg administered as a single oral dose of 10 mg x 2.
Time to Maximum Plasma Concentration (Tmax) After Administration of a Single Oral Dose of 20 mg of MK-0941 Among Participants With Mild Renal Insufficiency vs Matched Controls
1.00 Hours
Interval 0.5 to 1.0
0.50 Hours
Interval 0.5 to 2.0

SECONDARY outcome

Timeframe: 72-Hours Post-Dose

Tmax was evaluated among participants with Type 2 Diabetes Mellitus (T2DM) and moderate renal insufficiency who received 20 mg of MK-0941 versus controls with normal renal function who received 20 mg of MK-0941. Moderate renal insufficiency was defined as a 24-hour CLCR of 30 to 50 mL/min/1.73m\^2.

Outcome measures

Outcome measures
Measure
MK-0941 20 mg
n=8 Participants
MK-0941 administered as a single oral dose of 20 mg (10 mg x 2).
Control + MK-0941 20 mg
n=8 Participants
Age, gender-, race-, body mass index (BMI) and hemoglobin A1C (HbA1C) matched controls with Type 2 Diabetes Mellitus (T2DM) who received MK-941 at a dose of 20 mg administered as a single oral dose of 10 mg x 2.
Tmax After Administration of a Single Oral Dose of 20 mg of MK-0941 Among Participants With Moderate Renal Insufficiency vs Matched Controls
0.75 Hours
Interval 0.5 to 4.0
0.50 Hours
Interval 0.5 to 2.0

SECONDARY outcome

Timeframe: 72-Hours Post-Dose

Population: This study was discontinued early and participants were not treated with the 5 mg dose.

Tmax was evaluated among participants with Type 2 Diabetes Mellitus (T2DM) and severe renal insufficiency who received 5 mg of MK-0941 versus controls with normal renal function who received 5 mg of MK-0941. Severe renal insufficiency was defined as a 24-hour CLCR of \> 30 mL/min/1.73m\^2.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 72-Hours Post-Dose

T 1/2 was evaluated among participants with Type 2 Diabetes Mellitus (T2DM) and mild renal insufficiency who received 20 mg of MK-0941 versus controls with normal renal function who received 20 mg of MK-0941. Mild renal insufficiency was defined as a 24-hour CLCR of \> 50 to 80 mL/min/1.73m\^2.

Outcome measures

Outcome measures
Measure
MK-0941 20 mg
n=8 Participants
MK-0941 administered as a single oral dose of 20 mg (10 mg x 2).
Control + MK-0941 20 mg
n=8 Participants
Age, gender-, race-, body mass index (BMI) and hemoglobin A1C (HbA1C) matched controls with Type 2 Diabetes Mellitus (T2DM) who received MK-941 at a dose of 20 mg administered as a single oral dose of 10 mg x 2.
Time to Apparent Half Life (T 1/2) After Administration of a Single Oral Dose of 20 mg of MK-0941 Among Participants With Mild Renal Insufficiency vs Matched Controls
19.02 Hours
Standard Deviation 5.45 • Interval 5.45 to 5.45
15.75 Hours
Standard Deviation 7.12 • Interval 7.12 to 7.12

SECONDARY outcome

Timeframe: 72-Hours Post-Dose

T 1/2 was evaluated among participants with Type 2 Diabetes Mellitus (T2DM) and moderate renal insufficiency that received 20 mg of MK-0941 versus controls with normal renal function that received 20 mg of MK-0941. Moderate renal insufficiency was defined as a 24-hour CLCR of 30 to 50 mL/min/1.73m\^2.

Outcome measures

Outcome measures
Measure
MK-0941 20 mg
n=8 Participants
MK-0941 administered as a single oral dose of 20 mg (10 mg x 2).
Control + MK-0941 20 mg
n=8 Participants
Age, gender-, race-, body mass index (BMI) and hemoglobin A1C (HbA1C) matched controls with Type 2 Diabetes Mellitus (T2DM) who received MK-941 at a dose of 20 mg administered as a single oral dose of 10 mg x 2.
T 1/2 After Administration of a Single Oral Dose of 20 mg of MK-0941 Among Participants With Moderate Renal Insufficiency vs Matched Controls
13.59 Hours
Standard Deviation 4.90 • Interval 4.9 to 4.9
11.92 Hours
Standard Deviation 5.70 • Interval 5.7 to 5.7

SECONDARY outcome

Timeframe: 72-Hours Post-Dose

Population: This study was discontinued early and participants were not treated with the 5 mg dose.

T 1/2 was evaluated among participants with Type 2 Diabetes Mellitus (T2DM) and severe renal insufficiency who received 5 mg of MK-0941 versus controls with normal renal function who received 5 mg of MK-0941. Severe renal insufficiency was defined as a 24-hour CLCR of \> 30 mL/min/1.73m\^2.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 36-Hours Post-Dose

Population: This study was discontinued early and this evaluation was not conducted.

Fe was evaluated among participants with Type 2 Diabetes Mellitus (T2DM) and mild renal insufficiency who received 20 mg of MK-0941 versus controls with normal renal function who received 20 mg of MK-0941. Mild renal insufficiency was defined as a 24-hour CLCR of \> 50 to 80 mL/min/1.73m\^2.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 36-Hours Post-Dose

Population: This study was discontinued early and this evaluation was not conducted.

Fe was evaluated among participants with Type 2 Diabetes Mellitus (T2DM) and moderate renal insufficiency that received 20 mg of MK-0941 versus controls with normal renal function that received 20 mg of MK-0941. Moderate renal insufficiency was defined as a 24-hour CLCR of 30 to 50 mL/min/1.73m\^2.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 36-Hours Post-Dose

Population: This study was discontinued early and this evaluation was not conducted.

Fe was evaluated among participants with Type 2 Diabetes Mellitus (T2DM) and moderate renal insufficiency that received 5 mg of MK-0941 versus controls with normal renal function that received 5 mg of MK-0941. Severe renal insufficiency was defined as a 24-hour CLCR of \< 30 mL/min/1.73m\^2.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 36-Hours Post-Dose

Population: This study was discontinued early and this evaluation was not conducted.

CICR was evaluated among participants with Type 2 Diabetes Mellitus (T2DM) and mild renal insufficiency who received 20 mg of MK-0941 versus controls with normal renal function who received 20 mg of MK-0941. Mild renal insufficiency was defined as a 24-hour CLCR of \> 50 to 80 mL/min/1.73m\^2.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 36-Hours Post-Dose

Population: This study was discontinued early and this evaluation was not conducted.

CICR was evaluated among participants with Type 2 Diabetes Mellitus (T2DM) and moderate renal insufficiency that received 20 mg of MK-0941 versus controls with normal renal function that received 20 mg of MK-0941. Moderate renal insufficiency was defined as a 24-hour CLCR of 30 to 50 mL/min/1.73m\^2.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 36-Hours Post-Dose

Population: This study was discontinued early and this evaluation was not conducted.

CICR was evaluated among participants with Type 2 Diabetes Mellitus (T2DM) and severe renal insufficiency that received 5 mg of MK-0941 versus controls with normal renal function that received 5 mg of MK-0941. Severe renal insufficiency was defined as a 24-hour CLCR of \< 30 mL/min/1.73m\^2.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Up to 12 Hours Post-Dose

Population: This study was discontinued early and this evaluation was not conducted.

The glucose concentration-time profile was evaluated among participants with Type 2 Diabetes Mellitus (T2DM) and mild renal insufficiency who received 20 mg of MK-0941 versus controls with normal renal function who received 20 mg of MK-0941. Mild renal insufficiency was defined as a 24-hour CLCR of \> 50 to 80 mL/min/1.73m\^2.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Up to 12 Hours Post-Dose

Population: This study was discontinued early and this evaluation was not conducted.

The glucose concentration-time profile was evaluated among participants with Type 2 Diabetes Mellitus (T2DM) and moderate renal insufficiency who received 20 mg of MK-0941 versus controls with normal renal function who received 20 mg of MK-0941. Moderate renal insufficiency was defined as a 24-hour CLCR of 30 to \< 50 mL/min/1.73m\^2.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Up to 12 Hours Post-Dose

Population: This study was discontinued early and this evaluation was not conducted.

The glucose concentration-time profile was evaluated among participants with Type 2 Diabetes Mellitus (T2DM) and severe renal insufficiency who received 5 mg of MK-0941 versus controls with normal renal function who received 5 mg of MK-0941. Severe renal insufficiency was defined as a 24-hour CLCR of \< 30 mL/min/1.73m\^2.

Outcome measures

Outcome data not reported

Adverse Events

Control + MK-0941 20 mg

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

MK-0941 20 mg and Mild Renal Insufficiency

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

MK-0941 20 mg and Moderate Renal Insufficiency

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Control + MK-0941 20 mg
n=16 participants at risk
Age, gender-, race-, body mass index (BMI) and hemoglobin A1C (HbA1C) matched controls with Type 2 Diabetes Mellitus (T2DM) who received MK-941 at a dose of 20 mg administered as a single oral dose of 10 mg x 2.
MK-0941 20 mg and Mild Renal Insufficiency
n=8 participants at risk
MK-0941 was administered as a single oral dose to participants with mild renal insufficiency.
MK-0941 20 mg and Moderate Renal Insufficiency
n=8 participants at risk
MK-0941 was administered as a single oral dose of 20 mg to participants with moderate renal insufficiency.
Eye disorders
Diplopia
6.2%
1/16 • Number of events 1
0.00%
0/8
0.00%
0/8
Infections and infestations
Nasopharyngitis
6.2%
1/16 • Number of events 1
0.00%
0/8
0.00%
0/8
Investigations
Blood glucose decreased
0.00%
0/16
25.0%
2/8 • Number of events 2
0.00%
0/8
Investigations
Blood glucose increased
6.2%
1/16 • Number of events 1
0.00%
0/8
0.00%
0/8
Metabolism and nutrition disorders
Hypoglycaemia
6.2%
1/16 • Number of events 1
12.5%
1/8 • Number of events 1
50.0%
4/8 • Number of events 4
Skin and subcutaneous tissue disorders
Erythema
0.00%
0/16
12.5%
1/8 • Number of events 1
0.00%
0/8
Skin and subcutaneous tissue disorders
Hyperhidrosis
0.00%
0/16
0.00%
0/8
12.5%
1/8 • Number of events 1

Additional Information

Senior Vice President, Global Clinical Development

Merck Sharp & Dohme Corp

Phone: (800) 672-6372

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: GT60